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Triad HealthCare Network (THN) represents a model of healthcare delivery based on a strategy to better align physicians, hospitals and payers in order to provide better access to care, better clinical quality, and control costs.  In July 2012, THN was selected to participate in the Medicare Shared Savings Program through the Centers for Medicare and Medicaid Services (CMS) as an Accountable Care Organization (ACO).  As of January 1, 2016, THN was selected to participate in the Next Generation ACO. This Model builds on experience from the Pioneer ACO Model and the Medicare Shared Savings Program. Through this Model, CMS will partner with THN and other ACOs that are experienced in coordinating care for populations of patients and whose provider groups are ready to assume higher levels of financial risk and reward. This initiative will provide quality care in a cost efficient manner with a patient-focused approach. THN shares the following information regarding its participation as a Next Generation ACO:

Accountable Care Organization Public Reporting Guidance

General and Organization Information

ACO Name and Location

Triad HealthCare Network
300 E. Wendover Ave, Second Floor
Greensboro, NC 27401
Mailing address: 1200 N. Elm Street, Greensboro NC 27401

Hours of Operation: 8:30 AM – 5:00 PM

ACO Primary Contacts

James Osborne, MD, Chief Clinical Officer, THN
Employed by Eagle Physicians and Associates, P.A.
jim.osborne@conehealth.com
(336) 663-5122

Steve Neorr, Chief Administrative Officer, THN
Employed by Cone Health
Steve.Neorr@conehealth.com
(336) 663-5013

Composition of ACO:

Provider-led partnership between community physicians and Cone Health organized to improve healthcare in Greensboro and the greater Piedmont Triad area.

ACO Participants

Triad HealthCare Network ACO Governing Body

  • Dr. Richard Aronson, Voting Member, Employed by Guilford Medical Associates, ACO participant representative
  • Dr. John Campbell, Voting Member and Chair, Employed by Regional Center for Infectious Disease, ACO participant representative
  • Dr. Peter Whitfield, Voting Member, Employed by Greensboro Chamber of Commerce,  ACO participant representative
  • Dr. Haywood Ingram, Voting Member, Employed by Central Carolina Surgery, ACO participant representative
  • Lee McAllister, Voting Member, Employed by Weaver Investment, Consumer Advocate, ACO participant representative
  • Terry Akin, Voting Member, Employed by Cone Health, ACO participant representative
  • Jim Roskelly, Voting Member, Employed by Cone Health, ACO participant representative
  • Craven Williams, Voting Member, Employed by Guilford College, Medicare Beneficiary Advocate

Triad HealthCare Network Committees and Key Leadership Personnel

  • Operating Committee: James Osborne, MD,  Operating Committee Chair; Employed by Eagle Internal Medicine at Tannenbaum
  • Quality Committee: Patrick Wright, MD, Quality Committee Chair; Employed by LeBaeur HealthCare
  • Contracting and Finance Committee Co-Chairs: Robert Reade, MD; Employed by Eagle Family Medicine at Triad; David Grapey, MD, Employed by Alliance Urology Specialists
  • Steve Neorr, Chief Administrative Officer, THN; Employed by Cone Health

Aggregate Amount of Shared Savings/Losses

  • Medicare Shared Savings Program Performance 2013: $21.5 million saved ($10.5 million received)
  • Medicare Shared Savings Program Performance 2014: $3 million saved ($0 received as the Minimum Savings Requirement was not met)
  • Medicare Shared Savings Program Performance 2015: -$105,754 due to CMS ($0 received as the Minimum Savings Requirement was not met)
  • Next Generation Accountable Care Organization Performance 2016: $10.9 million saved and $10.7 million received

How Shared Savings Are Distributed

Any earned shared savings will first be allocated to cover 100% (up to $2 million) of Triad HealthCare Network’s infrastructure costs.

Twenty-five percent (25%) of any available margin, or an amount otherwise agreed to and approved by the THN Board of Managers, will be paid to Cone Health as repayment of Cone Health’s initial investment in the startup of Triad HealthCare Network.  

The remaining seventy-five percent (75%) of any available margin will be distributed to ACO Participants (Primary Care Physicians, Specialists and Cone Health) based on performance measures determined by Triad HealthCare Network.

Quality Reporting

Medicare Shared Savings Quality Reporting 2012 – 2014: Click here

Medicare Shared Savings Quality Reporting 2015: Click here

Next Generation Accountable Care Organization Performance 2016: Click here

For more information on how to interpret scores on the above quality performance measures, see http://www.cms.gov/Medicare/Medicare-Fee-for-Service-Payment/sharedsavingsprogram/Downloads/MSSP-QM-Benchmarks.pdf

For more information regarding ACOs:

  • Talk to your doctor
  • ACO Beneficiary Fact Sheet, Accountable Care Organizations and You: Frequently Asked Questions (FAQ) for People with Medicare.
  • Visit www.cms.gov/ACO
  • Call 1-800-MEDICARE (1-800-633-4227) 24 hours a day/7 days a week. TTY users should call 1-877-486-2048.